Forms
Fillable forms are completed best on your computer with free Adobe software. If they are completed on your phone, they may not fill correctly. Fillable forms may be attached to an email and sent to student_health_services@columbusstate.edu. If you are not able to use the fillable option, please print the forms, complete them, and drop them off at the SHC prior to your appointment.
New Patient Forms
***Note: These forms will need to be completed each academic year.
Women's Health Forms
Other Forms
- Certificate of Immunization (PDF) (must be completed and signed by a healthcare provider)
- Consent for Medical Treatment of a Minor (PDF)
- CSU Privacy Notice Form (PDF)
- Release of Medical Information Form (PDF)
- Sexual History Form (PDF)
- STI Screen and Consent Form (PDF)
